Form R -Ez Income Tax Return
ADVERTISEMENT
1VILLAGE OF MC COMB INCOME TAX RETURN
FORM R -EZ
FOR THE TAX YEAR
200_
Taxpayer’s Name & Address
Federal Identification Numbers ______ ____ ________
______ ____ ________
Column 1
Column 2
Column 3
Line 1. Total earned income
(Forms W-2 must be attached)
Other Cities
McComb
Gross Earnings
-
Tax
Tax
Form W-2
Employer Name
City
Withheld
Withheld
Generally Box 5
(Maximum 1%)
1a___________________________________ _______________
_____________
_____________
_______________
1b __________________________________ _______________
_____________
_____________
_______________
1c___________________________________ _______________
_____________
_____________
_______________
1d___________________________________ _______________
_____________
_____________
_______________
1e___________________________________ _______________
_____________
_____________
_______________
1f___________________________________ _______________
_____________
_____________
_______________
1h___________________________________ _______________
_____________
_____________
_______________
(If additional space is required, list on back of form)
Total Line 1
_____________
_____________
_______________
Line 2. Other income/(loss) from Schedules C, E, F, K, Form 1099 MISC. & Form 2106
(Copies of Federal Schedules must be attached)
2a
Schedule C…………………………………… _______________
2b
Schedule E …………………………………… _______________
2c
Schedule F……………………………………. _______________
2d
Schedule K (non-resident partnership). ………________________
2e
Forms 1099 MISC. …………………………..________________
Form 2106 (Deduction)………………………._(_____________)_
2f
Total Line 2………………………………………………………. _______________
Line 3. Less loss carryforward previous McComb Return (5 year limit)……………………………..……………… (_______________)
Line 3. Total Income (Column 3, total lines 1, 2, & 3)………………………………………………………………….. ________________
…………………………………………………………….._____________
Line 4. McComb Income Tax -1% (.01) of line 3
)…………………………………______________
Line 5. McComb Tax Withheld (Column 2 line 1 total
………………………………….………………______________
Line 6. Payments of Estimated Tax
……………………………………………______________
Line 7. Overpayments from previous year
………………………………______________
Line 8. Total McComb tax paid/withheld (total lines 5-7)
)
………………………………..______________
Line 9. Other Cities tax paid/withheld (Column 1 line 1 total
(1% maximum)..
…………………………………………………….______________
Line 10. Total tax paid/credit claimed (total lines 8 & 9)
…………………………………………………...______________
Line 11. Balance of tax due/(overpaid) (line 4 less line 10)
_________________
Line 12.
Amount of line 11 to credit to year 2001
_________________
Line 13.
Amount of line 11 to be refunded
Signature of Taxpayer/ Taxpayers:_______________________________________________
Preparer:__________________________________________________
________________________________
Date ____________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial